Page 300 - 2025 Ranger Medic Handbook

TBI RTD CARD (cont.)

• No combatives or collision sports • No weapons firing Physical • No combatives or collision sports • No crew-served weapons, mortars, breeching **If symptoms are present for 30 days place consult to Neuropsychology and Neurology**

Education Rest Activity 2 hr 30 min 4 hr 60 min 6 hr 90 min

TBI RETURN TO DUTY PROGRESSION (CONT.) Cognitive/Mood/Migraine Activities Physical Activities NeuroTracker SOF RTD Stress Test – Monitor Protocol (Self-limiting) Heart Rate throughout test Treadmill (If treadmill only goes to 15% grade) 3.5 (4.5) mph @ 14% (10%) grade × 3 min 4.5 (5.5) mph @

Vestibular/Ocular-Motor/Cervical Vestibular/Ocular-Motor Screening Shooting at range – assess tolerance to small arms blast Shooting – stepwise integration of movement and vestibule-ocular systems (CQB crawl-walk-run reintegration) Return to Full Duty

SECTION 11 Stage 5 (VOMS) 6 7 8 9

286 SECTION 11 REFERENCES & ABBREVIATIONS